NPIMap

Organization Active NPI

Offbroadway Apartments

  • Assisted Living Facility
  • Broken Bow, NE
National Provider Identifier
1669646410
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
218105650 Issued in NE
Legal business name
OFFBROADWAY APARTMENTS
Practice address
403 S 1St Ave
Broken Bow, NE 68822-2236
Phone
(308) 872-2522
Fax
(303) 872-2783
NPI assigned
Apr 14, 2008
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jewel Renee Shea
Title
Administrator
Phone
(308) 872-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 218105650 NE Primary

Addresses

Primary practice location

403 S 1St Ave
Broken Bow, NE 68822-2236

Mailing address

403 S 1St Ave
Broken Bow, NE 68822-2236
Phone (308) 872-2522

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1669646410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S 1ST AVE",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688222236",
            "telephone_number": "308-872-2522",
            "fax_number": "303-872-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S 1ST AVE",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688222236",
            "telephone_number": "308-872-2522",
            "fax_number": "303-872-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFBROADWAY APARTMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "308-872-2522",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "218105650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.